Provider First Line Business Practice Location Address:
2320 BATH ST STE 315
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-4387
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-569-7236
Provider Business Practice Location Address Fax Number:
805-563-7281
Provider Enumeration Date:
05/19/2021